Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelsey Rose Peterson, PA-C

Individual provider Physician Assistant · NPI 1902144983

Mrs. Kelsey Rose Peterson, PA-C is a Physician Assistant in Redmond, Oregon. Qualified in 2012, 14 years ago. Practices with St Charles Health System Inc, a 383-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1315 NW 4th St Ste A
Redmond, OR 97756-1328
Phone: (541) 548-7761
Fax: (541) 598-3485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 520 Medical Center Dr, Medford, OR 97504-4334 — (541) 282-6559

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA164169 (OR)

Record details

NPI number1902144983
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 25, 2013
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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